NPIMap

Individual provider Active NPI

Jill Suzanne Dana, NP

  • Family Nurse Practitioner
  • Avon, IN
National Provider Identifier
1063184869
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011640A Issued in IN
Practice address
6845 E US Highway 36 Ste 600
Avon, IN 46123-8132
Phone
(317) 272-4920
Fax
(317) 272-4906
NPI assigned
Sep 30, 2021
Last updated
Dec 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71011640A IN Primary

Addresses

Primary practice location

6845 E US Highway 36 Ste 600
Avon, IN 46123-8132

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

1351 Ronald Reagan Pkwy Ste B
Avon, IN 46123-6764
Phone (317) 948-3200

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jdana@direct.iuhealth.org Direct
Direct Messaging Address jdana@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231206000029 CO Practitioner - Nurse Practitioner 0547658874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates of Colorado Springs LLPGroup PAC ID 2163416934, 7 clinicians

Practice addresses (Care Compare)

1699 Medical Ctr PT
Colorado Springs, CO 80907-5700
Phone (719) 387-2144

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71011640AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Family Physicians, Inc. CurrentSince Feb 6, 2023 Accepting new patients
University Family Physicians, Inc. CurrentSince Feb 6, 2023 Accepting new patients
Indiana University Health Care Associates, Inc Family CurrentSince Dec 1, 2021 Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

7216 Solutions Ctr
Chicago, IL 60677

1351 Ronald Reagan Pkwy
Ste B
Avon, IN 46123
Phone (317) 948-3200

6845 E US Highway 36
Ste 600
Avon, IN 46123
Phone (317) 272-4920

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

Interoperability endpoints

  • Direct secure messaging: jdana@direct.iuhealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1063184869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 E US HIGHWAY 36 STE 600",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238132",
            "telephone_number": "317-272-4920",
            "fax_number": "317-272-4906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1351 Ronald Reagan Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "IN",
            "postal_code": "461236764",
            "country_code": "US",
            "telephone_number": "317-948-3200",
            "fax_number": "317-217-2424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANA",
        "first_name": "JILL",
        "middle_name": "SUZANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011640A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdana@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1351 Ronald Reagan Pkwy Ste B",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461236764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdana@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6845 E US Highway 36 Ste 600",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461238132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.